Stock Based Compensation - Options Outstanding (Details) - $ / shares	9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Number of Options
Outstanding number of options, beginning (in shares)	16,668	27,169	27,169
Vested (in shares)	0		0
Expired (in shares)	(6,668)		(501)
Forfeited (in shares)		(10,000)	(10,000)
Outstanding and exercisable number of options, ending (in shares)	10,000		16,668
Weighted Average Exercise Price
Outstanding weighted average exercise price, beginning (in dollars per share)	$ 143.63	$ 113.63	$ 113.63
Vested (in dollars per share)	0		0
Expired (in dollars per share)	285.89		410.18
Forfeited (in dollars per share)			48.75
Outstanding and exercisable weighted average exercise price, ending (in dollars per share)	$ 48.75		$ 143.63
Exercisable
Exercisable number of options, beginning (in shares)	10,000	7,169	7,169
Vested (in shares)	3,336		3,332
Expired (in shares)	(6,668)		(501)
Exercisable number of options, ending (in shares)	6,668		10,000
Exercisable weighted average exercise price, beginning (in dollars per share)	$ 206.85	$ 0	$ 0
Exercisable vested, weighted average exercise price (in dollars per share)	48.75		48.75
Exercisable expired, weighted average exercise price (in dollars per share)	285.89		410.18
Exercisable weighted average exercise price, ending (in dollars per share)	$ 48.75		$ 206.85